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Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4

Virginia rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$7.59

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $9.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$6.17 to $8.32
FacilityA hospital or hospital-owned outpatient department$9.55$8.13 to $12.59

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $21Professionalmedian $8 · 10th to 90th $5 to $11
$10$100$1K$10Kfacility $10professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.59
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$12.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$17.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$13.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.91
Typical High
$14.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.59
Typical High
$8.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.96
Typical High
$43.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$9.77

Where Virginia sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 34th of 51

$7.59

HI $12.59CO $5.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.